NPI age
19 years
Enumerated 2006-12-13
Across 947 active neurological surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155726601 | |
| 01 (TX) | MDL4341 | WORKER'S COMP ID NUMBER |
| 01 (TX) | 00000062JD | BCBS IND # |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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